State of California - Department of Developmental Services
NPI #1730130097 in Cathedral City, California
Provider Information
- NPI Number
- 1730130097
- Entity Type
- Organization
- Organization Name
- State of California - Department of Developmental Services
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 12, 2006
- Last Updated
- Jun 29, 2021
Practice Location
- Address
- 69696 RAMON RD
- City
- Cathedral City
- State
- California
- ZIP Code
- 92234-3353
- Phone
- (760) 770-6200
Authorized Official
- Name
- CARLA A CASTANEDA
- Title
- CHIEF DEPUTY DIRECTOR
- Phone
- (916) 654-2822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Pharmacy |
| Nursing Facility/Intermediate Care Facility |
| Intermediate Care Facility, Intellectual Disabilities |
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